Congestive heart failure in children in the differential diagnosis

1. Heart failure in infants with the following differences:
(1) of gas and severe pneumonia and bronchiolitis: Children have difficulty breathing, rapid breathing and pulse, and so by signs. Because emphysema and diaphragm drop Can liver 2 to 3 cm touch. Signs similar to the above with heart failure, but its heart is not expanded, not round blunt edge of the liver.
(2) Purple congenital heart disease: Children with because of the lack of oxygen, often by a breathing fast, fidgety, cyanotic heart rate increase and speed up, but there is no other manifestations of heart failure such as hepatomegaly, etc..
2. Older infants with heart failure should be under disease identification:
(1) acute pericarditis, pericardial effusion and chronic constrictive pericarditis: pericardial plug these diseases occur venous congestion and the time of his symptoms and heart failure similar, but pericardial disease has the following characteristics can be funded identification: ① surprising veins obvious. ② abdominal not more prominent, and other parts of edema disproportionate. ③ more lung congestive not obvious, so children despite jugular, ascites and liver obvious signs, such as the increase, but not significantly dyspnea, and more can be supine. ④ x line inspection, examination and echocardiography isotope cardiac blood pool scan can also assist in diagnosis.
(2) liver, kidney disease caused obvious ascites: with the right heart failure identification.